Eaton RM3-400-0330 Installation And Operation Manual

Contents

Copyright © 2007-2010 Eaton Corporation. All Rights Reserved.IPN 997-00012-62E June 2010 77Equipment Incident ReportEQUIPMENT INCIDENT REPORTPlease enter as much information as you can. Send the completed form, together with the item for repair to your nearestauthorized service agent. NOTE: Only one fault to be recorded per form.For further information contact your local Eaton dc product supplier or Eaton (see contact details on page 79). Or email:CustomerServiceNZ@eaton.comDate: ________________Customer InformationCompany: _______________________________________________________________________Postal Address: _____________________________________________________________________________________________________________________________________________________________________________________________________________________Return Address:(Not PO Box) _______________________________________________________________________Telephone: _______________ Fax: _______________ Email: _________________Contact Name: _______________________________________________________________________Location of FailureProduct code: ___________ Serial number: __________ Document number: _____________System type installed in: _________________________ Serial number: _____________Site name or location: __________________________________________________________Fault discovered Delivery Unpacking InstallationInitial test Operation after _____ years Other _______________Failure source Design Manufacturing DocumentationTransportation Installation Handling______________Effect on system operation None Minor Major _______________________INFORMATION (fault details, circumstances, consequences, actions)______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Internal use only.Reference No: __________ RMA: __________ NCR: __________ Signature: _________________ Date: _______________